Hospital Costs > In Texas > Lakeway Regional Medical Center, Llc, procedure costs
| Procedure | Discharges | Avg Covered Charges | Avg Total Payment | Avg Medicare Payment | ||||
|---|---|---|---|---|---|---|---|---|
| Count | Rank | Amount | Rank | Amount | Rank | Amount | Rank | |
| Simple Pneumonia & Pleurisy W Cc | 37 | 166 / 70 | $41.096,30 | 2362 / 167 | $14.458,80 | 240 / 218 | $4.387,65 | 240 / 18 |
| Kidney & Urinary Tract Infections W/O Mcc | 36 | 197 / 74 | $30.636,20 | 2247 / 169 | $10.681,50 | 9 / 216 | $2.765,44 | 9 / 2 |
| Spinal Fusion Except Cervical W/O Mcc | 28 | 166 / 46 | $222.796,00 | 1317 / 115 | $54.956,10 | 1312 / 118 | $37.374,20 | 1307 / 118 |
| Perc Cardiovasc Proc W Drug-Eluting Stent W/O Mcc | 25 | 171 / 49 | $85.008,70 | 959 / 69 | $18.596,10 | 76 / 121 | $9.252,40 | 76 / 13 |
| Misc Disorders Of Nutrition,Metabolism,Fluids/Electrolytes W/O Mcc | 19 | 147 / 67 | $31.204,40 | 2172 / 160 | $10.619,60 | 9 / 193 | $2.426,26 | 9 / 1 |
| Heart Failure & Shock W Cc | 19 | 259 / 93 | $43.716,90 | 2427 / 177 | $17.055,50 | 301 / 213 | $4.687,00 | 301 / 22 |
| Septicemia Or Severe Sepsis W/O Mv 96+ Hours W Mcc | 18 | 498 / 138 | $85.737,70 | 2502 / 176 | $28.833,20 | 2042 / 214 | $12.525,70 | 2005 / 191 |
| Chest Pain | 16 | 135 / 50 | $24.014,80 | 1161 / 58 | $7.191,25 | 20 / 120 | $2.078,50 | 20 / 2 |
| Cellulitis W/O Mcc | 15 | 174 / 74 | $30.677,40 | 2152 / 151 | $13.591,90 | 193 / 200 | $3.549,13 | 193 / 14 |
| Major Joint Replacement Or Reattachment Of Lower Extremity W/O Mcc | 14 | 550 / 145 | $92.031,90 | 2387 / 182 | $20.289,90 | 283 / 215 | $9.923,21 | 283 / 38 |
| Esophagitis, Gastroent & Misc Digest Disorders W/O Mcc | 14 | 261 / 97 | $31.924,90 | 2245 / 152 | $10.919,00 | 84 / 201 | $2.910,71 | 84 / 8 |
| G.I. Hemorrhage W Cc | 14 | 204 / 75 | $51.610,70 | 2193 / 149 | $14.581,40 | 26 / 165 | $4.064,64 | 26 / 2 |
| Circulatory Disorders Except Ami, W Card Cath W/O Mcc | 14 | 174 / 60 | $41.196,40 | 982 / 57 | $11.645,00 | 56 / 127 | $4.582,86 | 56 / 5 |
| Cardiac Arrhythmia & Conduction Disorders W Cc | 14 | 147 / 59 | $40.024,10 | 1907 / 132 | $13.254,80 | 255 / 158 | $3.557,93 | 255 / 22 |
| Heart Failure & Shock W Mcc | 13 | 271 / 107 | $80.988,20 | 2459 / 188 | $27.198,80 | 1880 / 203 | $9.977,23 | 1875 / 170 |
| Simple Pneumonia & Pleurisy W Mcc | 12 | 193 / 82 | $99.495,30 | 2456 / 189 | $33.206,00 | 2373 / 193 | $13.022,30 | 2367 / 185 |
| Back & Neck Proc Exc Spinal Fusion W/O Cc/Mcc | 12 | 77 / 28 | $65.432,80 | 695 / 54 | $12.389,20 | 56 / 56 | $4.548,17 | 56 / 13 |
| Combined Anterior/Posterior Spinal Fusion W/O Cc/Mcc | 11 | 36 / 9 | $195.526,00 | 77 / 10 | $47.702,50 | 65 / 13 | $38.947,90 | 65 / 13 |
| Combined Anterior/Posterior Spinal Fusion W Cc | 11 | 35 / 10 | $434.418,00 | 110 / 14 | $104.236,00 | 113 / 14 | $78.127,40 | 113 / 14 |
| Chronic Obstructive Pulmonary Disease W/O Cc/Mcc | 11 | 109 / 45 | $34.050,40 | 1819 / 120 | $11.981,20 | 172 / 148 | $2.966,64 | 172 / 9 |
| Chronic Obstructive Pulmonary Disease W Cc | 11 | 168 / 64 | $44.367,60 | 2152 / 136 | $14.410,80 | 261 / 169 | $4.269,82 | 261 / 22 | Total 21 procedures | 364 | discharges |
Source: Medicare Provider Utilization and Payment Data: Inpatient for FY2014
Average Covered Charges: The provider's average charge for services covered by Medicare for all discharges in the MS-DRG. These will vary from hospital to hospital because of differences in hospital charge structures.
Average Total Payments: The average total payments to all providers for the MS-DRG including the MSDRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Also included in average total payments are co-payment and deductible amounts that the patient is responsible for and any additional payments by third parties for coordination of benefits.
Average Medicare Payments: The average amount that Medicare pays to the provider for Medicare's share of the MS-DRG. Average Medicare payment amounts include the MS-DRG amount, teaching, disproportionate share, capital, and outlier payments for all cases. Medicare payments DO NOT include beneficiary co-payments and deductible amounts nor any additional payments from third parties for coordination of benefits. Note: In general, Medicare FFS claims with dates-of-service or dates-of-discharge on or after April 1, 2013, incurred a 2 percent reduction in Medicare payment. This is in response to mandatory across-the-board reductions in Federal spending, also known as sequestration
Hospital Rank: We have calculated the rank for each procedure within a hospital. The left number is the national ranking, the right one is the state ranking. For discharges, ranking is from highest # of discharges to lower (hospital with highest number of discharges ranks first). For charges and payments, lowest means a higher ranking.